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NPI Code Detail

MEDICARE: LUXOR CARE INC

MEDICARE: LUXOR CARE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1003216896
Entity Type Code : Organization
Provider Name (Legal Business Name) : LUXOR CARE INC
Provider Business Mailing Address
First Line : 301 GEORGIA ST
Second Line : SUITE 316
City : VALLEJO
State : CA
Zip : 94590-5946
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 160 GLEN COVE MARINA RD E STE 101
Second Line :
City : VALLEJO
State : CA
Zip : 94591-7290
Country : US
Telephone Number : 707-561-8008
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ALPHIE DE GUZMAN
Credential :
Telephone Number : 707-561-8008
Provider Enumeration Date : 08/28/2014
Last Update Date : 06/28/2024

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